Antimicrobial susceptibility of Clostridium difficile isolated from animals and humans in Brazil

The objective of this study was to evaluate antimicrobial susceptibility in Clostridium difficile strains isolated from animals and humans in Brazil. The 54 C. difficile strains used were isolated from stool samples from piglets (n=16), dogs (n=13), humans (n=13), foals (n=8) calves (n=2), an ocelot (n=1) and a maned wolf (n=1). Antimicrobial susceptibility was determined using the serial plate agar dilution method for penicillin, florfenicol, oxytetracycline, erythromycin, vancomycin, metronidazole and tylosin. The C. difficile strains assessed were susceptible to metronidazole and vancomycin. Florfenicol resistance was rarely observed; 52 (96.4%) strains were sensitive to this antimicrobial. Five (9.3%), five (9.3%), 14 (25.9%) and 20 (37.0%) strains were resistant to oxytetracycline, penicillin, tylosin and erythromycin respectively.

[1]  F. Lobato,et al.  Evaluation of three enzyme immunoassays and toxigenic culture for diagnosis of Clostridium difficile-associated enteritis in piglets , 2013 .

[2]  A. S. Borges,et al.  Detection of A/B toxin and isolation of Clostridium difficile and Clostridium perfringens from foals. , 2013, Equine veterinary journal.

[3]  B. V. Halbert,et al.  Effect of physical and inhaled euthanasia methods on hormonal measures of stress in pigs , 2013 .

[4]  F. Lobato,et al.  Clostridium difficile-associated diarrhea in an ocelot (Leopardus pardalis). , 2013, Anaerobe.

[5]  A. Shorr,et al.  Preventing clostridium difficile infection in the intensive care unit. , 2013, Critical care clinics.

[6]  F. Lobato,et al.  Clostridium difficile infection: main features and occurrence in domestic species in Brazil , 2012 .

[7]  S. Thakur,et al.  Antimicrobial Resistance, Toxinotype, and Genotypic Profiling of Clostridium difficile Isolates of Swine Origin , 2012, Journal of Clinical Microbiology.

[8]  F. Lobato,et al.  First confirmed case of Clostridium difficile-associated diarrhea in foals in Brazil , 2012 .

[9]  M. S. Júnior Recent changes in Clostridium difficile infection , 2012 .

[10]  M. Silva Júnior,et al.  Recent changes in Clostridium difficile infection. , 2012, Einstein.

[11]  Fabrizio Barbanti,et al.  Multidrug resistance in European Clostridium difficile clinical isolates. , 2011, The Journal of antimicrobial chemotherapy.

[12]  F. Lobato,et al.  Detection of enterotoxin A and cytotoxin B, and isolation of Clostridium difficile in piglets in Minas Gerais, Brazil , 2011 .

[13]  R. Harvey,et al.  Prevalence and Genotypic Characteristics of Clostridium difficile in a Closed and Integrated Human and Swine Population , 2011, Applied and Environmental Microbiology.

[14]  E. Kuijper,et al.  Acquisition of Clostridium difficile by piglets. , 2011, Veterinary microbiology.

[15]  P. Boerlin,et al.  Antimicrobial susceptibility of Clostridium perfringens isolates of bovine, chicken, porcine, and turkey origin from Ontario. , 2011, Canadian journal of veterinary research = Revue canadienne de recherche veterinaire.

[16]  Dhara Shah,et al.  Clostridium difficile infection: update on emerging antibiotic treatment options and antibiotic resistance , 2010, Expert review of anti-infective therapy.

[17]  A. Weintraub,et al.  Antimicrobial resistance in Clostridium difficile. , 2009, International journal of antimicrobial agents.

[18]  R. Domingues,et al.  Characterization of Clostridium difficile strains isolated from immunosuppressed inpatients in a hospital in Rio de Janeiro, Brazil. , 2009, Anaerobe.

[19]  J. Songer,et al.  Equine Colitis X Associated with Infection by Clostridium Difficile NAP1/027 , 2009, Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc.

[20]  D. Gerding,et al.  Toxinotype V Clostridium difficile in Humans and Food Animals , 2008, Emerging infectious diseases.

[21]  Carlene A. Muto,et al.  Antimicrobial-associated risk factors for Clostridium difficile infection. , 2008, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[22]  M. Bertelsen,et al.  Fatal enterocolitis in Asian elephants (Elephas maximus) caused by Clostridium difficile. , 2006, Veterinary microbiology.

[23]  J. Madigan,et al.  Molecular characterization of Clostridium difficile isolates from horses in an intensive care unit and association of disease severity with strain type. , 2006, Journal of the American Veterinary Medical Association.

[24]  J. Songer,et al.  Clostridium difficile: an important pathogen of food animals. , 2006, Anaerobe.

[25]  V. Båverud Clostridium difficile diarrhea: infection control in horses. , 2004, The Veterinary clinics of North America. Equine practice.

[26]  J. Songer,et al.  Antimicrobial susceptibility of Clostridium difficile isolated from neonatal pigs with enteritis. , 2004, Anaerobe.

[27]  A. Aspán,et al.  Clostridium difficile: prevalence in horses and environment, and antimicrobial susceptibility. , 2010, Equine veterinary journal.

[28]  S. Marks,et al.  Antimicrobial susceptibilities of canine Clostridium difficile and Clostridium perfringens isolates to commonly utilized antimicrobial drugs. , 2003, Veterinary microbiology.

[29]  V. Båverud,et al.  Clostridium difficile infections in animals with special reference to the horse. A review , 2002, The Veterinary quarterly.

[30]  J. Madigan,et al.  Antimicrobial susceptibilities of equine isolates of Clostridium difficile and molecular characterization of metronidazole-resistant strains. , 1997, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[31]  M. Delmée,et al.  Correlation between serogroup and susceptibility to chloramphenicol, clindamycin, erythromycin, rifampicin and tetracycline among 308 isolates of Clostridium difficile. , 1988, The Journal of antimicrobial chemotherapy.

[32]  J. Bartlett,et al.  In vitro susceptibility of Clostridium difficile isolates from patients with antibiotic-associated diarrhea or colitis , 1980, Antimicrobial Agents and Chemotherapy.